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  • Cyber Insecurity

    Last September, the FBI issued a warning that devices and objects that connect to the internet to send and receive data are vulnerable to cyber-attack. While this warning referenced many popular lifestyle devices such as smart phones and wearable fitness monitors, it also included devices common to laboratories and other businesses, such as ...
    Posted to CRI Lab Quality Advisor (Weblog) on January 29, 2016
  • Theranos Under Regulatory Microscope

    Theranos has been in the news and has garnered both bouquets and brickbats because of its proprietary technology as well as its business model. This company started by wunderkind Elizabeth Holmes and valued in the billions uses small samples of blood (often from a fingerstick) and runs tests on its own proprietary instrument. The value ...
  • Do You Speak IT? (Part 1)

    I recently read an interesting article1 in Health IT and CIO Review that discussed commonly misused IT terms in the healthcare profession. The fact that these terms are misused so frequently is not solely due to misunderstanding or unfamiliarity; it reflects how new the field of healthcare IT is and how the meaning and interpretation of this ...
    Posted to CRI Lab Quality Advisor (Weblog) on December 21, 2015
  • Controlling Specimen Identification Errors: A Quiz

    It is a well-known fact by now that most laboratory errors occur in the pre- and post-analytic phases of testing and that these errors can have a significant impact on patient care. Often, these activities do not occur within the physical confines of the laboratory, but in other locations—often by personnel not directly managed by the ...
    Posted to CRI Lab Quality Advisor (Weblog) on October 26, 2015
  • Adding New Staff to an Old Team

    Sometimes, you have the good fortune to find qualified staff within a short time to replace those who have left, minimizing the disruption to your daily routine. More often than not, it takes a while to find the “right” person for your lab. In the meantime, the remaining techs have to take on extra shifts, work in other specialties or take on ...
    Posted to CRI Lab Quality Advisor (Weblog) on October 6, 2015
  • Are You Ready for ICD-10?

    Come October 1st, 2015 Medicare will only accept claims (with a date of service on or after October 1, 2015) if they have a valid ICD-10 code. Is your lab ready to meet that directive?   Clinical laboratories are required to submit accurate and complete diagnosis codes in electronic and paper claims to third party payers. ...
  • Assess the Quality of Your Waived Testing

    According to CMS, there were 229,815 laboratories in the U.S. , in 2012, of which 150,256 were Certificate of Waiver sites. Stated another way, this means that some 65 percent of laboratories in the U.S. do not have any routine oversight. The number of waived tests has grown from just 9 tests in 1993 to 119 analytes using more than 5,400 test ...
    Posted to CRI Lab Quality Advisor (Weblog) on September 2, 2015
  • Why are Pharmacists Practicing Medicine?

    A few days ago I was speaking to a physician, an ID specialist, who shared how frustrated he was with, as he put it,  “pharmacists telling us how to practice medicine.” He is a member of a healthcare organization which, like many today, has a fairly specific formulary. Physicians are restricted as to the medications ...
  • AACC Issues Position Statement on Personalized Medicine

    The AACC recently issued a position statement on personalized medicine(PM). Much has been written about the emergence of a more individualized approach to medicine.  Patients often present with a variety of symptoms for the same disease and react differently to the same treatment.   The laboratory will play an ...
  • Celebrating Differences

      There are differences all around us: at work, in society, and even in our own family or circle of friends. We tend to focus on the differences a lot. Just look at the news and see how all of societal ills are being blamed on those who are different from us.   This weekend I have been catching up on my reading. I just read ...
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